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Alcoholic Liver Disease

Alcoholic liver disease is liver damage caused by excessive alcohol consumption over time. It ranges from fatty liver to hepatitis and cirrhosis. Early diagnosis and lifestyle changes, including alcohol cessation, are essential to prevent progression and support liver recovery.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Alcoholic Liver Disease?

Alcoholic liver disease (ALD) is damage to the liver caused by prolonged, excessive alcohol consumption. The liver normally breaks down alcohol, but over time heavy drinking injures liver cells and impairs function. In early stages, abstaining from alcohol can allow the liver to heal. If left untreated, ALD can progress to serious conditions such as cirrhosis, liver failure, or liver cancer.

Common Causes and Risk Factors

  • Drinking alcohol regularly over many years
  • Family history or genetic variants affecting alcohol metabolism
  • Poor diet or being overweight/obese
  • Existing non-alcoholic fatty liver disease (NAFLD)
  • Exposure to medications or toxins that harm the liver

Signs and Symptoms

  • Often no noticeable signs in early stages
  • Fatigue or general weakness
  • Loss of appetite or unexplained weight loss
  • Discomfort or fullness in the upper right abdomen
  • Swelling of the abdomen (ascites) or legs
  • Yellowing of the skin and eyes (jaundice)
  • Increased bruising or bleeding tendencies
  • Confusion, memory problems, or other mental changes in advanced disease

How Dr. Rishi Diagnoses Alcoholic Liver Disease?

Dr. Rishi uses a step-by-step approach:

Medical History and Physical Exam

He reviews your alcohol intake, diet, family history, and looks for signs like jaundice, abdominal swelling, or liver enlargement.

Blood Tests

He orders liver function tests (AST, ALT, GGT), a complete blood count, and other labs to assess liver injury and rule out alternative causes.

Imaging Studies

  • Abdominal ultrasound to detect fatty liver changes, liver size, and fluid buildup.
  • FibroScan or elastography to measure liver stiffness and gauge fibrosis.

Advanced Testing (if needed)

When the diagnosis is unclear or to stage inflammation/fibrosis, a liver biopsy (ICD-10: K70.9) may be performed.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for alcoholic liver disease.

1. Lifestyle and Diet Changes

  • Stop drinking alcohol immediately to halt further liver damage
  • Increase intake of fruits, vegetables, whole grains, and lean protein
  • Stay active and maintain a healthy weight through regular exercise
  • Limit sugar, fried foods, and saturated fats to support liver function

2. Medications

  • Supplemental vitamins such as B1 (thiamine), B12, and vitamin D
  • Medications to reduce fluid retention or manage hepatic encephalopathy
  • Targeted therapies for related liver complications as needed

3. Procedures and Advanced Interventions

  • Endoscopy to identify and control gastrointestinal bleeding
  • Paracentesis for removal of excess abdominal fluid (ascites)
  • TIPS (transjugular intrahepatic portosystemic shunt) to relieve portal hypertension
  • Referral to a liver transplant center when advanced disease requires transplant evaluation
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is the first sign of alcoholic liver disease?

You may feel weak or have mild belly discomfort. Early stages often have no noticeable symptoms.

How is alcoholic liver disease different from NAFLD?

ALD is caused by long-term alcohol use. NAFLD develops in people who drink little or no alcohol.

Can alcoholic liver disease be reversed?

Yes. In early stages, quitting alcohol and following a treatment plan can allow your liver to heal.

What is the ICD-10 code for ALD?

The code for unspecified alcoholic liver disease is K70.9.

How long does recovery take?

Improvement can be seen in a few weeks after abstaining from alcohol and adhering to lifestyle changes.

What foods should I avoid?

Avoid alcohol entirely, as well as fried foods, sugary drinks, and processed snacks.

Will I need a liver transplant?

Not always. Transplantation is reserved for severe, non-reversible liver damage.

Can I drink a little once I feel better?

No. Even small amounts of alcohol can trigger further liver injury.

How often should I see Dr. Chadha?

Initially, you may have monthly visits. Once stable, follow-up is usually every 3-6 months.

Is treatment covered by insurance?

Yes. Most plans cover tests and care. Our team will assist with any prior authorizations.

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